| NPI | 1336563253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.11308) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2014095) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2017-04-24 |